Proactive Therapy of Greenville Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROACTIVE THERAPY OF GREENVILLE INC

Doing business as

NovaCare Outpatient Rehabilitation

Practice address

1689 Nonconnah Blvd
Suite 100
Memphis, TN 38132-2102

Phone

(901) 396-1984

Fax

(901) 396-1984

NPI assigned

Jul 29, 2005

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael E. Tarvin

Title

Vice President

Phone

(717) 975-4503

Specialties & licenses 1

Addresses

Other names 1

• NovaCare Outpatient Rehabilitation Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Novacare Outpatient Rehabilitation East Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Rockledge, PA
  • NPI 1235138124

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Cozort, PT

  • Physical Therapist
  • Memphis, TN
  • NPI 1659347250
  NPD (past)
• Stephen P Sonnier, PT

  • Ergonomics Physical Therapist
  • Kingwood, TX
  • NPI 1851456412
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1134129265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 OLD GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-975-4503",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 NONCONNAH BLVD",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322102",
            "telephone_number": "901-396-1984",
            "fax_number": "901-396-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE THERAPY OF GREENVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-975-4503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Outpatient Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Pritchett, BS
• Patrice Pritchett, PHARMD
• Private Senior Providers Etp LLC
• Kayla Privitt, MD
• Pro Results 901 Therapy Group
• Proactive Therapy of Greenville Inc (NovaCare Rehabilitation)
• Process Psychiatry and Wellness
• James Franklin Proctor, D.D.S.
• Kimberly E Proctor, RN/NP
• Mary L Proctor, DOT

• Physical Therapy Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.